<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
	<div class="row">
		<div class="col-sm-12">
			<div class="ibox float-e-margins">
				<div class="ibox-content">
					<form class="form-horizontal m-t" id="signupForm">
						<input id="id" name="id" th:value="${publicRefund.id}"  type="hidden">

						<div class="form-group">
							<label class="col-sm-3 control-label">专家姓名（开户名）：</label>
							<div class="col-sm-8">
								<input id="expertName" name="expertName" th:value="${publicRefund.expertName}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">专家类型：</label>
							<div class="col-sm-8">
								<input id="expertType" name="expertType" th:value="${publicRefund.expertType}" class="form-control" type="text" >
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">专家身份证：</label>
							<div class="col-sm-8">
								<input id="expertIdCard" name="expertIdCard" th:value="${publicRefund.expertIdCard}" class="form-control" type="text" required>
							</div>
						</div>


						<div class="form-group">
							<label class="col-sm-3 control-label">手机号：</label>
							<div class="col-sm-8">
								<input id="mobile" name="mobile" th:value="${publicRefund.mobile}" class="form-control" type="text" required>
							</div>
						</div>


						<div class="form-group">
							<label class="col-sm-3 control-label">考评日期：</label>
							<div class="col-sm-8">
								<input id="evaluationTimes" name="evaluationTimes" th:value="${publicRefund.evaluationTimes}" class="form-control" type="text"
									   onclick="WdatePicker({dateFmt:'yyyy-MM-dd'})" placeholder="请考评时间">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">考评学校：</label>
							<div class="col-sm-8">
								<input readonly="readonly" id="evaluationSchool" name="evaluationSchool" th:value="${publicRefund.evaluationSchool}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">费用：</label>
							<div class="col-sm-8">
								<input id="cost" name="cost" th:value="${publicRefund.cost}" class="form-control" type="text">
							</div>
						</div>
													<div class="form-group">
														<label class="col-sm-3 control-label">付费类型：</label>
														<input id="postHidden" th:value="${publicRefund.refundType}" class="form-control"
															   type="hidden">
														<div class="col-sm-8">
															<select name="refundType" id="refundType" class="form-control">
																<option value="0"> 对公</option>
																<option value="1"> 对私</option>
															</select>
														</div>
													</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">银行账户：</label>
							<div class="col-sm-8">
								<input id="bankAccount" name="bankAccount" th:value="${publicRefund.bankAccount}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">开户银行：</label>
							<div class="col-sm-8">
								<input id="bankOfDeposit" name="bankOfDeposit" th:value="${publicRefund.bankOfDeposit}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">备注：</label>
							<div class="col-sm-8">
								<input id="remarks" name="remarks" th:value="${publicRefund.remarks}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">考评人数：</label>
							<div class="col-sm-8">
								<input id="evaluationNum" name="evaluationNum" th:value="${publicRefund.evaluationNum}" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">退回说明：</label>
							<div class="col-sm-8">
								<input readonly="readonly" id="returnExplain" name="laborCostAveragePrice" th:value="${publicRefund.returnExplain}" class="form-control" type="text">
							</div>
						</div>

						<!--							<div class="form-group">-->
						<!--								<label class="col-sm-3 control-label">付费类型：</label>-->
						<!--								<input id="postHidden" th:value="${publicRefund.publicRefundType}" class="form-control"-->
						<!--									   type="hidden">-->
						<!--								<div class="col-sm-8">-->
						<!--									<select name="publicRefundType" id="publicRefundType" class="form-control">-->
						<!--										<option value="0"> 对公</option>-->
						<!--										<option value="1"> 对私</option>-->
						<!--									</select>-->
						<!--								</div>-->
						<!--							</div>-->
						<div class="form-group">
							<div class="col-sm-8 col-sm-offset-3">
								<button type="submit" class="btn btn-primary">提交</button>
							</div>
						</div>
					</form>
				</div>
			</div>
		</div>
	</div>
</div>
	<div th:include="include::footer"></div>
	<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>
	<script type="text/javascript" src="/js/webJs/jzweb/publicRefund/edit.js">
	</script>
</body>
</html>
